ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is planning care for a preschooler who has neutropenia.
Question 1 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Avoid raw fruits and vegetables in the child's diet. This is because raw fruits and vegetables may contain harmful bacteria that can cause foodborne illnesses, especially in children with weakened immune systems. Administering vaccines, obtaining rectal temperature, and bathing frequency are not directly related to preventing foodborne illnesses.
Therefore, they are not the priority interventions in this scenario.
Extract:
Question 2 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: The correct answer is D: Continuous swallowing. Following a tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This finding is crucial as it can lead to airway compromise and further complications.
A: Heart rate 54/min is not necessarily indicative of hemorrhage in this context.
B: Flushing of the face could be a sign of fever or anxiety, not necessarily hemorrhage.
C: Blood pressure 95/56 mm Hg alone may not be a clear indication of hemorrhage in this case.
Extract:
A nurse is reviewing the laboratory results of a preschool-age child who has iron deficiency anemia.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A - Request a provider prescription for ferrous sulfate.
Rationale: The nurse should request a prescription for ferrous sulfate as it is commonly used to treat iron deficiency anemia. By obtaining a prescription, the nurse can ensure that the appropriate dosage and monitoring are in place to address the underlying condition effectively.
Summary of other choices:
B: Administering factor VII concentrate is not appropriate without indication of a coagulation disorder.
C: While promoting oral hygiene is important, the use of a soft sponge toothbrush does not address any immediate medical need.
D: Placing the child in protective precautions is too vague and not specific to the given scenario about the action needed by the nurse.
Extract:
Nurses' Notes (0800 hrs): The client's guardian reports that the child has been unable to sleep recently and has been very irritable. The guardian expresses concern about the child's skin condition worsening and the child scratching excessively, which results in the areas bleeding. The guardian states the child has a history of allergic rhinitis. The child appears alert and responsive but frequently scratches at the affected areas. The guardian mentions that the child has been using a new laundry detergent recently. The child has been given diphenhydramine 10 mg PO for itching. The guardian is worried about the potential for infection due to the open sores; Vital Signs (0800 hrs): Temperature: 37.2°C (99°F), Heart rate: 110/min, Respiratory rate: 22/min, Blood pressure: 100/60 mmHg; Physical Examination Results (0800 hrs): Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities. The affected areas are dry and rough to the touch. Some areas show signs of excoriation and minor bleeding. No signs of systemic infection observed. The child appears to be in mild distress due to itching; Medication Administration Record: Diphenhydramine 10 mg PO, 4 times per day, Pimecrolimus 1% cream, apply to skin lesions daily; A nurse is caring for a 3-year-old male client in the emergency department. The client presents with a history of irritability, scratching, and bleeding from skin lesions. The nurse is preparing to discharge the client.
Question 4 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? (Select all that apply)
Correct Answer: A,B,C,E,G
Rationale:
Correct Answer: A, B, C, E, G
Rationale:
A: "You should use a mild detergent for your child's laundry." This is important to prevent skin irritation in sensitive skin.
B: "You should apply emollients to your child's skin after bathing." Emollients help in moisturizing and soothing the skin.
C: "You can apply gloves to your child's hands." Gloves can protect the skin from further irritation and damage.
E: "You should cut and file your child's fingernails frequently." Short nails help prevent scratching and worsening of skin lesions.
G: "Your child will experience occasional flare-ups of this condition." Setting realistic expectations about the condition helps in long-term management.
Summary:
D: "You should apply a thick layer of pimecrolimus cream to your child's lesions." Pimecrolimus cream is not usually recommended for all types of skin conditions.
F: "Your child's condition is contagious when lesions
Extract:
Question 5 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: The correct answer is B: WBC count 15,000/mm3 (5,000 to 10,000/mm3). In acute lymphoblastic leukemia, the goal of treatment is to reduce the abnormal white blood cell count. A decrease in the WBC count indicates a therapeutic effect. Platelet count (choice
A) may vary due to treatment but is not a direct indicator of therapeutic effect. RBC count (choice
C) and hemoglobin (choice
D) are indicators of anemia common in leukemia but not specific to treatment effectiveness.